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First FA apmt - do you think we'll be eligible??

Printed From: OHbaby!
Category: Support
Forum Name: Coping with infertility
Forum Description: Have you been trying to conceive unsuccessfully? Dealing with primary or secondary infertility? Get support, advice, and help coping here.
URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=43297
Printed Date: 15 February 2025 at 7:25am
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Topic: First FA apmt - do you think we'll be eligible??
Posted By: Pickies
Subject: First FA apmt - do you think we'll be eligible??
Date Posted: 18 May 2013 at 10:53am
I'm almost 40 and my partner is almost 42...and we have our first appointment with FA in Albany, Auckland, in two weeks.

Considering that my partner and I have had all our tests come back as normal (except for borderline count and slightly reduced reserve) and I've already managed to get pregnant twice in the last 7-8 months, do you think we'll be accepted on the public waiting list for IVF? I'm thinking they might just tell us there are no issues but 'age' and to keep trying naturally. (Which we will be doing of course.)

I just want to go in with realistic expectations...

Has anyone in a similar situation to us been to see FA? What did they say/do/recommend?



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Me -nearly 40: slightly reduced ovarian reserve
DP -nearly 42: great motility, borderline count

Mar 2012 -began ttc #1

BFP Oct 2012 -m/c at 7wks
BFP Feb 2013 -m/c at 4w5d

Apr 2013 -began acu



Replies:
Posted By: epictraveller
Date Posted: 18 May 2013 at 2:35pm
Hi Pickies, I think 40 is the cut off for public funding but I'm not sure if that's when you have the IVF or are accepted for it. How long have you been TTC? And what are your DP's numbers for sperm? That's what they use to put you into 'categories' to determine public funding.

-------------
#1

Angel babies April 2013, Nov 2013

IVF #1 Nov 2013-CP
IVF #2 May 2014-BFN
IVF #3 Feb 2015-BFN
DS Jun 2015-BFN
Oct 16 -Natural BFP!

TTC #2


Posted By: Pickies
Date Posted: 18 May 2013 at 4:05pm
Thanks for replying, epictraveller...

40 is the cut-off age at time of referral, so we're ok on that one. We've been TTC for 14 months today.

From memory, DP's results:

Volume: 2ml
Progressive motility 45% ('normal' is 32%)
Count 14 million ('normal' is 15 million and over)

My results all normal except for AMH of 7-ish.

-------------
Me -nearly 40: slightly reduced ovarian reserve
DP -nearly 42: great motility, borderline count

Mar 2012 -began ttc #1

BFP Oct 2012 -m/c at 7wks
BFP Feb 2013 -m/c at 4w5d

Apr 2013 -began acu


Posted By: Pickies
Date Posted: 19 May 2013 at 6:53am
Anyone else know whether we might still have a shot of getting on the waiting list, without being diagnosed as having a 'problem'??

-------------
Me -nearly 40: slightly reduced ovarian reserve
DP -nearly 42: great motility, borderline count

Mar 2012 -began ttc #1

BFP Oct 2012 -m/c at 7wks
BFP Feb 2013 -m/c at 4w5d

Apr 2013 -began acu


Posted By: Victoria
Date Posted: 20 May 2013 at 2:57pm
I think that they'll also take into consideration your two miscarriages. From what I know you'll get public funding with no issues at all, it's just a matter of how long the waiting list is.


Posted By: epictraveller
Date Posted: 20 May 2013 at 3:25pm
You have to get 65 points on their chart to get public funding but because of your age your points are reduced quite a bit so even though your DH has what they call a moderate medical issue, (second most serious level), because of your age, I don't think your points will be high enough to get public funding. Miscarriages don't feature on the chart either as far as I know but I could be wrong about that, it depends on if you have a cause for them I think and they usually only investigate after 3 miscarriages. Sorry to be negative but I'd rather be wrong than give you false hope, I really really do hope you come on here after your appointment and tell me I'm wrong, really do hope you qualify for public funding!

-------------
#1

Angel babies April 2013, Nov 2013

IVF #1 Nov 2013-CP
IVF #2 May 2014-BFN
IVF #3 Feb 2015-BFN
DS Jun 2015-BFN
Oct 16 -Natural BFP!

TTC #2


Posted By: Pitter patter
Date Posted: 20 May 2013 at 9:35pm
Hi Pickies, we are having our frist app with FA in 2 and a half weeks so I have done a bit of reading.
They say you won't know if you get funding or not until they assess you but from what I have read epic is right- you need to get 65 points and they take into account age, length of time trying, if you have multiple serious fertility issues diagnosed.
Sorry Pickies but I think your chances are not good for public funding. I too am being refered so that appointment is covered but after that will probably have to be paying ourselves. The document I read which explained the whole system (which I can't find now) acknowledged that it was very biased against those aged over 35 to reach 65 points (only way possible would be to be 36 or 37 and have been trying for 5 + years or have multiple diagnosed fertility issues), beyond 37 it was even harder.
 
I hope your appointment goes really well and i am completely wrong and we are both fully funded xx


-------------

TTC number 2 since April 2011
MC Nov 12
Formally Mamma2one


Posted By: Pickies
Date Posted: 25 May 2013 at 7:18pm
Thanks everyone - it helps to read all this, so we don't get our hopes up. Will let you know what's said at the appointment, in case anyone else is in a similar situation to us.

-------------
Me -nearly 40: slightly reduced ovarian reserve
DP -nearly 42: great motility, borderline count

Mar 2012 -began ttc #1

BFP Oct 2012 -m/c at 7wks
BFP Feb 2013 -m/c at 4w5d

Apr 2013 -began acu


Posted By: Pickies
Date Posted: 31 May 2013 at 5:49pm
Had our first appointment today...in a nutshell, I had an ultrasound and it turns out my lining is thin :( They want a repeat SA for my partner and an HSG for me. Unless either of those tests comes up as abnormal, there's no hope of getting on the public waiting list. So when the results come in, we'll go back to discuss our options. I'm not so much concerned about not getting public funding, as I am about having a thin uterine lining!! I know that in some cases this can be improved through drugs but it's got me quite worried, as some women don't see an improvement no matter what they do... :(

-------------
Me -nearly 40: slightly reduced ovarian reserve
DP -nearly 42: great motility, borderline count

Mar 2012 -began ttc #1

BFP Oct 2012 -m/c at 7wks
BFP Feb 2013 -m/c at 4w5d

Apr 2013 -began acu


Posted By: Icecream
Date Posted: 31 May 2013 at 8:15pm
Does any one have or seen the scoring details? We will have our 3rd appointment in Nov after we do clomid and self funded IUI but Dr said by next March which will be 4yrs ttc we will be eligable for public funding. Tryed to search for CPAC scoring but no luck.

Pickies - sorry to hear about thin lining - I don't know much about it. I have had an HSG - not a great experience but not horrific!


Posted By: Pitter patter
Date Posted: 31 May 2013 at 10:30pm
Hi guys,
Pickles thanks for updating us. Hope that you can increase your uterine lining and that this helps you get pregnant again and sustain the pregnancy.
Hope your HSG goes well and your partners SA too.
Icecream this is the document I read: http://www.moh.govt.nz/notebook/nbbooks.nsf/0/EE485C7A94B3399E4C2565D70018B803/$file/Access%20to%20infertility%20services.pdf" rel="nofollow - http://www.moh.govt.nz/notebook/nbbooks.nsf/0/EE485C7A94B3399E4C2565D70018B803/$file/Access%20to%20infertility%20services.pdf
Ok so it is long and I think it is the document they used to design the funding, as it is old things might have changed a bit but from what I hear people say it still seems right. From what the doc says maybe you fit into prognosis catagory 2 in table 3.5 on page 17? Also you don't smoke, BMI is ok and you are under 37?
 


-------------

TTC number 2 since April 2011
MC Nov 12
Formally Mamma2one


Posted By: epictraveller
Date Posted: 31 May 2013 at 10:39pm
Pickies, I'm sure there will be a way to thicken it but at least you're under proper care now and can get stuff done, even if you have to pay for it!

I've used that document too for ages, there is a newer one now which is scored a bit differently (and do you think I can remember how I got to it?!) but the concepts are the same, so use that one and see how you get on, if you're borderline I'll try and find the other one!

-------------
#1

Angel babies April 2013, Nov 2013

IVF #1 Nov 2013-CP
IVF #2 May 2014-BFN
IVF #3 Feb 2015-BFN
DS Jun 2015-BFN
Oct 16 -Natural BFP!

TTC #2


Posted By: Icecream
Date Posted: 01 June 2013 at 8:57am
Thanks mumma2one and epic
I am 31 and been trying since in my late 20s, never smoked a single thing, BMI was high ish when I first went to my doc but it is down to 25.5 - flippen last 2kg is so hard!
I will read up and let you know
Have a great long weekend


Posted By: Icecream
Date Posted: 01 June 2013 at 9:33am
Okay some help would be good or as you say epic maybe the numbers have changed slighyly!!??

L = 40
C = 8     Does is depend at all on age of child? DD is 14
S = 20

68

Age 1.0
Prognosis 0.7      Or 1 which is where I am unsure
Confirmed PCOS
FHS. 1.0
Non smoker 1.0

So 68 x 1 is okay but 68 x 0.7 = 47.6 is not

My biggest fear this that my doc thinks next March we are 5 year ttc but it is from March 2010 so 4 years. Was so happy in the appointment did not question Barbara - Epic do you think I should ask about it? Got our plan in the mean time but this is niggling at me

Thanks guys


Posted By: Pitter patter
Date Posted: 07 June 2013 at 10:55pm
Hi guys
 
Icecream i found this: http://www.bopdhb.govt.nz/media/42002/Gynaecology-infertility-CPAC.pdf" rel="nofollow - http://www.bopdhb.govt.nz/media/42002/Gynaecology-infertility-CPAC.pdf
 
If this is the one that is currently in use it is good news as children over 12 years don't take points off your score (I have heard this age mentined a hew times so I think it is right). Also adding together your PCOS, and I think i remember mild endo (?)  and length of time trying perhaps you get the score after 4 years???
 
Epic does this look right to you?
 
Had my first FA app today, went well and at least have a plan: a lap surgery in 5-6 months (this is the waiting list time) loose some wieght in the mean time. The Lap is funded but at this stage don't qualify for any further funding. Good to have a plan so I am happy.


-------------

TTC number 2 since April 2011
MC Nov 12
Formally Mamma2one


Posted By: Icecream
Date Posted: 08 June 2013 at 12:12am
Thanks mumma2one! Glad your appointment went well and it is so good you have a plan. Dr mentioned putting me on the list for lap when we discussed it we hope in that time frame natural / clomid or IUI will work for us.


Posted By: Icecream
Date Posted: 08 June 2013 at 8:57am
Had a look today and I get 90. Which is why doc said I did not need lap for points, wait list 6 months and we have plan to then and can go on the IVF list in March. Any idea what the wait time for IVF in Dunedin is?
Also I wonder should I get a lap booked anyway?
Thanks again


Posted By: Mrs Impatient
Date Posted: 08 June 2013 at 9:23am
Mumma2one, thanks for the link. I score 50.2, does that mean we would not be eligable?

-------------
http://lilypie.com" rel="nofollow">
TTC Mar 2011
4 IUI all BFN
IVF Dec BFP


Posted By: Icecream
Date Posted: 08 June 2013 at 10:46am
Hi Mrs I -I think the number is 65 but really not sure (hence all the questions!)
Shame your just a bit out - time ttc seems to help - that is why we are waiting til March and paying for IUI (if needed) before that


Posted By: Pitter patter
Date Posted: 08 June 2013 at 1:03pm
Hi guys,
Sorry your score is a bit low Mrs I-yeah 65 is the score. Scoring system does seem hardest on the undiagnosed group (think you would fall in there from memory?). I really hope time pushes up your score and maybe if you IUI now successful does that help? Mrs I are there any investigations they could do that might help? With me they think it might be endo so a LAP could confirm this, am pleased we are not paying for it as it costs around $11,000! I hope you get your BFP without needing IVF anywaySmile
 
Icecream that great your score is higher now, I really hope this is the current form they are using! Don't know what the wait time in Dunedin is hope someone else can help, maybe we should start a new thread to ask? My specialist said the wait time in Waikato is 18 months! So even by some miracle we do end up qualifying I am thinking we would go on the list and consider paying for a round while waiting (if you can even do that), we can only afford paying for one ivf round. Am hoping though that loosing weight, accupunture, getting rid of stress we are under at the mo (for other reasons) and time will mean we will get another bfp, fx for all of us xx
 
Pickies I hope you are doing good too. 


-------------

TTC number 2 since April 2011
MC Nov 12
Formally Mamma2one


Posted By: amk11
Date Posted: 08 June 2013 at 2:18pm
Hi Mumma 2 one, you can pay for a round and stay on public waiting list, you drop off if you get pregnant. If you can afford it you can name your start date basically, which is good if you wnt to plan. We paid for our 4th round of IVF through FA Waikato after having 3 rounds public IVF a dare now 13 weeks pregnant


-------------
IVF 1- No embryos to transfer
IVF 2- BFN
IVF 3- BFP, miscarriage at 7 weeks
IVF 4- BFP, Joshua born 15/12/2013 and one frozen embryo
FET- CP
IVF 5- Baby number 2 due 21/2/2017 and 1 frozen embryo ❤


Posted By: Mrs Impatient
Date Posted: 08 June 2013 at 3:02pm
Thanks Mumma2one, I would have to be going through Waikato FA, so haering that the wait list is 18 mths, would definately mean we would just pay for it ourselves as we don't want to have to wait that long
AMK - Do you mind if I ask how much your IVF round was?

-------------
http://lilypie.com" rel="nofollow">
TTC Mar 2011
4 IUI all BFN
IVF Dec BFP


Posted By: amk11
Date Posted: 08 June 2013 at 3:09pm
Of course not, it was just over $12000 but we had ICSI and used our own personal donor. ICSI costs about $2000 but as recommended and we knew each egg was correctly fertilised and good if sperm count is low
With public IVF we waited about 1 year but it could be longer now, g one waiting list even if you pay for a round first if you are eligible as it pays to hav options.

-------------
IVF 1- No embryos to transfer
IVF 2- BFN
IVF 3- BFP, miscarriage at 7 weeks
IVF 4- BFP, Joshua born 15/12/2013 and one frozen embryo
FET- CP
IVF 5- Baby number 2 due 21/2/2017 and 1 frozen embryo ❤


Posted By: Pitter patter
Date Posted: 10 June 2013 at 10:14pm
Amk thanks for the info and congratulations! That is great news

-------------

TTC number 2 since April 2011
MC Nov 12
Formally Mamma2one



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